CMS Price Transparency Data

Cataract surgery with lens implant

Facility: East Liverpool City Hospital

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $2,390
Cash Discount Price: $2,172
vs. Medicare Baseline: 1.01x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at East Liverpool City Hospital is $2,390. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,172. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 1.01x the Medicare baseline. Located in 425 West 5Th Street, East Liverpool, OH.

Cash / Self-Pay

$2,172

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,390

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$2,357.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $2,357.81 (100%)

Cash / Self-Pay: $2,172 (92%)

Insurance Median: $2,390 (101%)

Cash: $2,172 (92% of Medicare)

Ins. Median: $2,390 (101% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $2,357.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Standard Eapg Logic	$1,773	75%
UnitedHealthcare	$2,129 - $2,731	90%
Blue Cross Blue Shield	$2,173 - $2,679	92%
Buckeye Community Health Plan	$2,173 - $2,804	92%
Health America	$2,173	92%
Medical Mutual Of Oh	$2,173	92%
Medicare (plans)	$2,173	92%
Molina	$2,173 - $2,804	92%
Tricare	$2,173	92%
Care Source	$2,238 - $2,804	95%
Devoted Health	$2,281	97%
Communicare	$2,325	99%
Valor Health Plan	$2,325	99%
Perennial	$2,390	101%
Medicaid / KanCare	$2,601	110%
Naphcare	$2,607	111%
Paramount	$2,679	114%
Amerihealth Caritas	$2,731	116%
Employer Direct Healthcare	$2,804	119%
Multiplan (Fka Private Healthcare Systems)	$2,804	119%
Provider Select	$2,804	119%
Three Rivers	$2,804	119%
Worker Compensation	$2,804	119%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,172.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 66984.

Insurance In-Network Protection Plan

Contact your insurance company to confirm East Liverpool City Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 66984.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.